<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<!--[if lt IE 7 ]> <html class="no-js ie6"> <![endif]-->
<!--[if IE 7 ]>    <html class="no-js ie7"> <![endif]-->
<!--[if IE 8 ]>    <html class="no-js ie8"> <![endif]-->
<!--[if IE 9 ]>    <html class="no-js ie9"> <![endif]-->
<!--[if (gt IE 9)|!(IE)]><!-->
<html class="no-js">
<!--<![endif]-->
<head>
    <meta http-equiv="Content-Type" content="text/html;charset=utf-8" />
    <title>体检预约服务平台 - 医通在线</title>
    <link href="templates/css/global.css" rel="stylesheet" type="text/css" />
    <link href="templates/css/agency.css" rel="stylesheet" type="text/css" />
    <meta content="" name="Keywords">
    <meta name="description" content="" />
    <script src="templates/js/jquery-1.3.2.min.js" type="text/javascript"></script>
    <script language="JavaScript" type="text/javascript" src="templates/js/My97DatePicker/WdatePicker.js"></script>

    <script src="templates/js/form.js" type="text/javascript"></script>
    <script src="templates/js/common.js" type="text/javascript"></script>
    <script src="templates/js/append.js" type="text/javascript"></script>
<!--[if IE 6]>
    <script src="../../js/ddpng.js" type="text/javascript"></script>
    <script type="text/javascript">DD_belatedPNG.fix('.ddpng');</script>
    <![endif]-->
    <script type="text/javascript">
        var userInfo = <{$userinfoJson}>;
    </script>
</head>
<body>
<!--header st-->
<{include file="../templates/$newtpl/header.html"}>

<div class="row mb10 center_layout fix">
    <{include file="../templates/$newtpl/left.html"}>
    <div class="grid0 grid770">
        <div class="main_con">
            <div class="subline"><h4>预约登记</h4><!-- <a href="<{$__URL__}>help" target="_blank" class="yuyue"><s></s>预约须知</a> --></div>
            <div class="step"><img src="templates/images/step_1.png" /></div>
            <div class="con info_box">
                <dl class="form">
                    <dd><label class="label">公司：</label><{$enterprise_info.enterprise_name}></dd>
                    <dd><label class="label">预约人：</label><{$userinfo.user_realname}>（工号：<{$userinfo.user_gh}>）</dd>
                    <dd><label class="label">有效证件：</label>
                    <{if $userinfo.user_indefiny ==1}>身份证<{/if}>
                    <{if $userinfo.user_indefiny ==2}>护照<{/if}>
                    <{if $userinfo.user_indefiny ==3}>军官证<{/if}>
                    <{if $userinfo.user_indefiny ==4}>其他<{/if}>

                    </dd>
                    <dd>
                        <label for="" class="label">证件号: </label> <{$userinfo.user_indefiny_code}>
                    </dd>
                    <dd><label class="label">性别：</label>
                    <{if $ifzanbu == "0"}>
                    <{if $userinfo.user_sex ==1}>男<{/if}><{if $userinfo.user_sex ==2}>女<{/if}>
                    <{else}>
                    <{if $zanbuinfo.zanbu_sex ==1}>男<{/if}><{if $zanbuinfo.zanbu_sex ==2}>女<{/if}>
                    <{/if}>
                    </dd>
                    <dd>
                                            <label class="label">出生日期：</label>
                                            <input onFocus="WdatePicker({lang:'zh-cn',startDate:'1980-01-01'})" name="birthday" type="text" class="input" id="birthday" value="<{if $ifzanbu == "0"}><{$ygBirthday}><{else}><{$zanbuinfo.zanbu_birthday}><{/if}>" />
                                            <span class="">体检机构需要登记您的年龄，格式YYYY-MM-DD</span>
                                            <!--
                                            <{if $userinfo.user_age_automatic ==1}>
                                                <{$userinfo.user_birthday}>
                                                <input name="birthday" type="hidden" id="birthday" value="<{$userinfo.user_birthday}>" />
                                            <{else}>
                                                <input onFocus="WdatePicker({lang:'zh-cn',startDate:'1980-01-01'})" name="birthday" type="text" class="input" id="birthday" value="<{if $ifzanbu == "0"}><{$userinfo.user_birthday}><{else}><{$zanbuinfo.zanbu_birthday}><{/if}>" />
                                                <span class="">体检机构需要登记您的年龄，格式YYYY-MM-DD</span>
                                            <{/if}>
                                            -->
                                        </dd>
                    <dd><label class="label"><em class="red">*</em> 婚姻状况：</label><label class="mr20"><input name="wedding" type="radio" class="radiobtnfix"  value="1" <{if $ifzanbu == "0"}><{if $userinfo.user_marry ==1}>checked="checked"<{/if}><{else}><{if $zanbuinfo.zanbu_marry ==1}>checked="checked"<{/if}><{/if}>>未婚</label><label><input name="wedding" type="radio" class="radiobtnfix" value="2"  <{if $ifzanbu == "0"}><{if $userinfo.user_marry ==2}>checked="checked"<{/if}><{else}><{if $zanbuinfo.zanbu_marry ==2}>checked="checked"<{/if}><{/if}>>已婚</label>
                    <!--<span style="color:red;font-size=12px;margin-left: 10px;"><br />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;已婚女性套餐比未婚套餐增加 阴超、白带常规、宫颈刮片，未婚女性做已婚套餐需在体检中心前台签字确认。</span>--></dd>
                    <dd><label class="label"><em class="red">*</em> 手机：</label><input name="tel" type="text" class="input" id="tel" value="<{if $ifzanbu == "0"}><{$userinfo.user_tel}><{else}><{$zanbuinfo.zanbu_tel}><{/if}>" onkeyup="value=value.replace(/[^\d]/g,'') " onbeforepaste="clipboardData.setData('text',clipboardData.getData('text').replace(/[^\d]/g,''))" />
                        <span class="fault">(必填)&nbsp;&nbsp;确保您能收到预约短信提醒，请准确填写手机号！</span>
                    </dd>
                                        <dd><label class="label">邮箱：</label><input name="email" type="text" class="input" id="email" value="<{if $ifzanbu == "0"}><{$userinfo.user_email}><{else}><{$zanbuinfo.zanbu_email}><{/if}>" /></dd>
                </dl>
                <span style="color:#333333">
                重要提示：此次体检为实名制体检，如您发现姓名、身份证号码及性别有误，请勿预约，请致电400-820-6772-1-3。</span>
                  <input name="orderid" type="hidden" id="orderid" value="<{$soinfo.order_id}>">

                <div class="btn"><a href="###" onClick="jumpto();" title="下一步" class="btn_next"></a></div>
          </div>
        </div>
    </div>
</div>

<{include file="../templates/$newtpl/foot.html"}>

<!--脚本如下-->
<script src="templates/js/jquery-1.7.2.min.js" type="text/javascript"></script>
<script src="templates/js/jquery.switchable2.min.js" type="text/javascript"></script>
<script src="templates/js/global.js" type="text/javascript"></script>

<script type="text/javascript">

    jQuery(document).ready(function($) {

        $(".radiobtnfix").click(function(event) {
            alert('请根据自己的实际情况选择婚姻信息');
        });
    });

    

    $('#slideBox .log_box').switchable({
        triggers: $('#slideBox .tab li a'),
        panels: '.tab_con',
        triggerType: 'click'
    });


</script>

</body>
</html>